RESUMEN
Background: Social isolation is very common and has increased during the COVID-19 pandemic. Objective: To study if spiritual reconnection as part of a multi-component intervention can reduce social isolation in older adults with cognitive impairment. Methods: A longitudinal case study framework was used. A 68-year-old female with mild cognitive impairment presented with social isolation exacerbated by the COVID-19 pandemic. She participated in a telephone-based psychosocial intervention program called Connection Plans for 8 weeks. Motivational interviewing techniques were used to encourage the patient to pick goals to improve the mind, body, and connections. In her connections goal, the patient expressed a desire to make spiritual reconnection. Connecting back to her spirituality was one of the key interventions in this patient. Social isolation, resilience, self-efficacy, and cognition were assessed using standardized rating scales before and after the intervention. Results: The patient was able to identify goals to enhance connections and physical and mental well-being. She successfully reconnected with her spirituality while maintaining COVID prevention measures. At an 8-week follow-up, compared to the baseline visit there was an improvement in measures of social isolation (22/30 to 14/30, a 36% reduction), resilience (12/20 to 20/20, a 67% improvement), and confidence (4/20 to 16/20, a 300% improvement). No improvement was noted in cognition. Conclusions: Spiritual reconnection as part of a multi-component intervention may protect against social isolation in older adults with cognitive impairment. Caution must be exercised in reaching this conclusion as this is a report of a single patient. Systematic studies are needed.
RESUMEN
The COVID-19 pandemic has heightened social isolation and loneliness. There is a lack of consensus on rating scales to measure these constructs. Our objectives were to identify commonly used loneliness and social isolation scales over the last two decades and test their user characteristics. 7928 articles were searched in PubMed/MEDLINE, CINAHL, Web of Science, and APA PsychINFO databases. 41 articles were included based on study criteria. Among fourteen scales reported, UCLA 3-item loneliness scale was found to be most commonly used. The scale is specifically developed for telephone use and is the fastest taking less than a minute for self-administration.
